DIANE R GENAZE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002619

License Status

ACTIVE

Business

First Name

DIANE R

Last Name

GENAZE

Business Name

DIANE R GENAZE

Original Issue Date

05/01/1978

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2024